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(美)国家脑研会基金会召开了基础与临床研究方面的科学家会议,他们来自学术界、政府及私人医院,就对卒中的早期过程,阻止卒中进展和减轻损害的治疗选择上的新进展作了讨论。该专题研讨会于1994年5月10日在华盛顿举行,主要议题是:(1)卒中的重要性及基本的病理生理;(2)卒中的早期识别与诊断;(3)卒中的早期治疗。 卒中是一医疗急症,需要象对心脏发作那样得到的立即反应。事实上,卒中就是一种“脑发作”,尽管在基础及临床神经科学上的新进展,使得有可能改进急性卒中的治疗,但目前治疗卒中病人的一般方法仍是混乱的。公众关于卒中症状及严重性的知识的缺乏,也对这一问题起了作用。1989年由美国心脏协会在旧金山进行了一项调查显示,几乎2/3的被调查者不能从一系列症状中正确识别出卒中的早期征兆,而有90％的人可以说出至少一种主要的心脏发作标志。 在由国家脑研究基金会发起的第五届“脑的十年”专题研讨会上,著名的演讲人员提供了在卒中研究与治疗措施上的趋向与新观念的总概况。对改善和阻止卒中的继发性损害的治疗窗口,通过几个发言者所描述的策略可以被拓宽。另外,需要增强教育使人们把卒中当做脑发作和医疗急症来认识,并将病人快速转运到医疗单位并尽快开始治疗。
(US) National Brain Research Foundation held a meeting of scientists in basic and clinical research from academia, government and private hospitals on new advances in treatment options for the early stages of stroke, stroke progression, and lessening of harm Made a discussion. The symposium was held on May 10, 1994 in Washington. The main topics were: (1) the importance of stroke and its basic pathophysiology; (2) the early identification and diagnosis of stroke; and (3) the early treatment of stroke. Stroke is a medical emergency that requires an immediate response as it did to a heart attack. In fact, stroke is a “brain attack,” and although new advances in basic and clinical neuroscience have made it possible to improve the management of acute stroke, the current general approach to treating stroke patients remains confused. The public’s lack of knowledge about the symptoms and severity of stroke also contributes to this issue. A 1989 survey by the American Heart Association in San Francisco found that almost two-thirds of respondents were unable to correctly identify early signs of stroke from a range of symptoms, while 90% said at least one major Heart attack sign. At the Fifth Symposium on Brain Decade, sponsored by the National Brain Research Foundation, prominent speakers provided a general overview of trends and new ideas in stroke research and treatment. The treatment window for the improvement and prevention of secondary damage to stroke can be broadened through the strategies described by several speakers. In addition, there is a need for increased education so that stroke can be recognized as a brain attack and medical emergency, and patients can be quickly transported to medical units and started treatment as soon as possible.